Active NPI
The Tooth Fairies
- Dental Hygienist
- Sammamish, WA
National Provider Identifier
1205055035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00005026
- Legal business name
- THE TOOTH FAIRIES
- Practice address
- 2603 244TH Ave SE
Sammamish, WA 98075-9402 - Phone
- (425) 417-0630
- NPI assigned
- Apr 24, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. H Elise Tanner, RDH, BS
- Title
- Registered Dental Hygienist
- Phone
- (425) 417-0630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH00005026 | WA | Primary |
Addresses
Primary practice location
2603 244TH Ave SE
Sammamish, WA 98075-9402
Mailing address
2603 244TH Ave SE
Sammamish, WA 98075-9402
Phone (425) 417-0630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901095 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- The Tooth Fairies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Hygienist
- Steilacoom, WA
- NPI 1720214976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205055035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 244TH AVE SE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759402",
"telephone_number": "425-417-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 244TH AVE SE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759402",
"telephone_number": "425-417-0630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE TOOTH FAIRIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TANNER",
"authorized_official_first_name": "H ELISE",
"authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
"authorized_official_telephone_number": "425-417-0630",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RDH, BS"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00005026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901095",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.